Tuesday, March 14, 2017

I Get The Feeling There Are Some Real Gaps In The Evidentiary Approach Being Adopted by The ADHA Strategy Team.

The following is an extract from the following document

Board Meeting 25 January 2017 - Board Papers (Download)

Finalising the strategy and building the evidence base

While consultation continues through January, the project team is transitioning to developing the Strategy and substantiating it with a credible evidence base. We will do this by leveraging leading local and global research on digital innovation, analysing jurisdictional and Australian Government priorities, commissioning targeted evidence reviews, as well as talking with digital innovation experts across the private sector, academia and research institutions. The team is also undertaking structured interviews with Policy leaders in federal and state governments with both health and complimentary (social services) portfolios.
Attachment C sets out the approach to gathering and synthesizing evidence to support the Strategy.
Through synthesis of findings and insights, the Agency is defining the strategic priorities and initiatives to meet the needs identified through the national consultation.
From February 2017, the Agency will commence co-design of the strategic initiatives in collaboration with experts from industry, the science community, clinicians, and healthcare provider organisations. The collaborative design of the strategic initiatives is key to the success of the Strategy, as it will determine whether the Strategy receives commitment from the very people and organisations who need to support and help deliver on the strategic initiatives.
Key stakeholders who will play a substantive role in delivering the strategic initiatives in the Strategy will be presented the Agency’s assessment of the strategic choices and initiatives to prioritise based on the consultation findings, and will have the opportunity to provide input.
The activities to support this process include:

  • an Industry Stakeholder forum with senior representatives from the digital health industry and associations;
  • a Clinical and Consumer forum to be held through partnerships with peak bodies, via a webinar, to broaden reach of feedback; and
  • online polls focusing on the priority areas on conversation.digitalhealth.gov.au.

The first paragraph seems to be all focussed on digital innovation but not to be gathering evidence on Health IT and where it has been shown to work (or not) and what needs to be done to achieve success.
Health is only involved, it would seem, in government entities  being interviewed for requirements?
My view: unless there is a very deep dive into Health IT globally and locally and a clear eyed assessment of where we are right now the Strategy will be a wind driven ‘thought bubble’ un-attached to the ground (reality). Provision on-line of Attachment C of Item 6.1 of the Board papers - the research methodology - would be a good thing I believe
I really hope I am missing something because there is not much time left to get it right! I await the planned activities with considerable interest and hope my concerns are not justified!


Anonymous said...

I would like to say academic insights but that would devalue academia, Tim is a public attention seeking muppet, we could have do a Ted talk an email the link. That would have save a million dollars. The tour and talks are becoming droll and empty of any understanding. It is one man one nation.

Correct me if I am wrong but a lot of this seems out of scope for the Agency, better of fixing HI, NASH etc...or is that to hard?

Anonymous said...

They had about 6months to start doing literature reviews ie. gathering lists of digital health related research, problems, failures, successes, evidence of best practice advice. Why wait until after drafting the strategy to start doing the research and compiling the required evidence. If the strategy is based on evidence then you should have the evidence before drafting. The ideas and priorities raised by consultation should be evaluated using early research (be a domain expert including starting the literature review) and then fill in the few gaps if you can.
~~~~ Tim C

Anonymous said...

Spotting," social service" raised a few questions. Perhaps the new minister should take a step back and have a think before something manifest into a political career limiting outcome.

Perhaps this may assist everyone in seeing a possible future, have lessons been learned or simply new key words to plant to distract the public and our elected representatives?


Provided in the spirit of international evidence and research